J. Hearst Welborn, Jr, MD
Hand Surgeon and Orthopedic Surgeon
Private Practice, Marin

David Nelson , MD
Private Practice, San Francisco
Webmaster, eRadius
Associate Editor, J Hand Surgery
Director, San Francisco Bay Area Hand Club

(case submitted August 10, 2007)

The patient is a 35 YO white male who fell off his horse playing polo. He injured his left forearm and was brought to the emergency room. The following xrays were taken:

These are the xrays (PA, lateral) obtained on presentation to the ER


You are the surgeon on call.

(1) How would you describe the fracture to a fellow orthopedist?

(2) There are many options, but what should be done first?

(3) What would your first option be? If that does not work, what would your fallback option be?


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